Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Innovations Pediatric Therapy, LLC

Organization Occupational Therapist · NPI 1003356817

Innovations Pediatric Therapy, LLC is an Occupational Therapist in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Yount Dr
Bloomington, IL 61704-3745
Phone: (309) 824-7417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056006902 (IL)
Feeding, Eating & Swallowing Occupational Therapist Taxonomy 225XF0002X · Licence 056006902 (IL)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 056006902 (IL)

Record details

NPI number1003356817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Golladay — Owner · (309) 824-7417
NPI enumeratedFebruary 27, 2017
Last updated in NPPESFebruary 27, 2017
Mailing address212 Edwards Dr, Normal, IL 61761-2334

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